Inspection Reports for Maris Grove

The inspection was conducted as a follow-up to verify that the submitted plan of correction was fully implemented after an incident.

The facility was found to have implemented corrective actions for multiple deficiencies including record confidentiality, locking poisonous materials, surface repairs, annual medical evaluations, medication storage security, and following prescriber's orders. Ongoing quality assurance monitoring programs were established to ensure continued compliance.

The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, with the reason noted as 'Incident'.

No regulatory citations or deficiencies were identified as a result of this inspection.

The visit was a partial, unannounced follow-up inspection triggered by an incident to review the facility's plan of correction and compliance with licensing requirements.

The inspection found repeated violations related to resident abuse and inadequate assessment and support plans, specifically concerning sexually aggressive behaviors of Resident #1. The facility implemented a plan of correction including 1:1 supervision, psychiatric evaluation, and updates to resident assessments and support plans.

The inspection was incident-related, triggered by a complaint or incident involving sexually aggressive behavior by Resident #1. The report does not explicitly state substantiation status.

The inspection visit on 12/19/2023 was a partial, unannounced follow-up to review the submitted plan of correction related to an incident involving medication administration discrepancies.

The submitted plan of correction was determined to be fully implemented as of the review date. The main deficiency involved medication record discrepancies related to narcotic administration, which led to staff suspensions and corrective actions including audits and staff education.

The inspection visit on 07/24/2023 was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to a renewal and incident.

The facility was found to have fully implemented the submitted plan of correction. Two deficiencies were cited: one involving neglect and failure to provide first aid to a resident, and another related to staffing documentation errors during a fire drill. Corrective actions included suspension and separation of the responsible staff member and improvements in documentation and monitoring procedures.

The inspection was an unannounced partial review conducted due to an incident at the facility.

The inspection found repeated deficiencies related to failure to provide assistance with activities of daily living, neglect/abuse in care practices, incomplete medical evaluations, and missing signatures on support plans. The facility submitted a plan of correction which was accepted and fully implemented.

The inspection was a partial, unannounced licensing inspection conducted due to an incident.

No regulatory citations or deficiencies were identified during this inspection.

The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.

The facility was found to have fully implemented the submitted plan of correction related to deficiencies in activities of daily living assistance, treatment of residents, and resident-home contract services. The deficiencies involved failure to provide required assistance and dignity to a resident, with corrective actions including staff re-education and suspension of an employee who subsequently resigned.

The inspection visit was conducted as a follow-up to verify the implementation of a previously submitted plan of correction related to an incident at the facility.

The submitted plan of correction was found to be fully implemented. Deficiencies related to assistance with activities of daily living, abuse, and support plan signatures were addressed with corrective actions including supervision plans, staff training, and audits of support plans.

The visit was a partial, unannounced follow-up inspection conducted due to an incident involving resident abuse reporting and treatment concerns.

The facility was found to have delayed reporting suspected resident abuse to the appropriate agency and had incidents of staff mistreatment of residents. Corrective actions included staff suspensions and separations, education on abuse reporting, and implementation of quality assurance monitoring.

The visit was triggered by an incident involving alleged resident abuse. The allegations were substantiated by incident reports and staff interviews. Staff persons A and D were suspended and subsequently separated from employment due to the deficient practices.

The inspection was a renewal visit to assess compliance with licensing regulations for the facility.

The inspection identified multiple deficiencies including unsecured poisonous materials, improper refrigerator/freezer temperatures, outdated food, lint accumulation in dryer vents, incomplete fire drill records, missing annual medical evaluations, medication storage and labeling issues, medication administration documentation errors, incomplete resident records, and glucometer calibration errors. Corrective actions were implemented and plans for ongoing monitoring were established.

The inspection was conducted as a follow-up to verify the implementation of the submitted plan of correction for previous deficiencies at the facility.

The submitted plan of correction was determined to be fully implemented, with continued compliance required. Two specific deficiencies were addressed: failure to submit a new fire safety approval after building renovations, and lack of toilet paper in a resident bathroom.

The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.

The facility was found to have deficiencies related to failure to provide required assistance with medication administration and incontinence care during the 11pm-7am shift on 3/26/22. Staff abandonment and neglect were noted, including missed medication administration and soaked incontinence products for residents. The facility implemented corrective actions including clearer staff assignments, weekly audits, and staff in-service training. The submitted plan of correction was determined to be fully implemented.

The inspection was a partial, announced follow-up visit conducted on 02/09/2022 to review the plan of correction and verify compliance with licensing requirements.

Two deficiencies were identified: the absence of a working television and radio in a resident lounge area, and missing conspicuous posting of directions for operating key-locking devices at Secure Dementia Care Unit exits. Both deficiencies were corrected immediately prior to the exit survey.

The inspection was a partial, unannounced follow-up visit conducted due to an incident, to verify the implementation of a previously submitted plan of correction.

The facility was found to have implemented the submitted plan of correction fully. Several deficiencies were cited related to criminal background checks for contractors, emergency telephone numbers posting, resident assessments, support plans, and confidentiality of resident records, but the facility contested these citations and provided corrective actions. The plan of correction was accepted and marked as implemented.

The inspection was a partial, unannounced follow-up visit conducted due to an incident, focusing on the submission and implementation of a plan of correction.

The submitted plan of correction related to the absence of emergency telephone numbers by a resident phone was found to be fully implemented. The deficiency involved missing emergency contact numbers on or by the telephone in room #318, which was corrected during the survey.

The inspection was a partial follow-up visit conducted on 08/06/2021 to verify the implementation of a previously submitted plan of correction related to an incident.

The facility was found to have implemented the plan of correction fully. Deficiencies related to staff orientation, medication storage and administration, medication error reporting, and support plan signatures were addressed with corrective actions and monitoring plans in place.

The inspection was a partial, unannounced incident investigation conducted on 07/12/2021 to review compliance and follow up on a plan of correction submission.

The facility failed to follow prescriber's orders by not administering prescribed medications to Resident #1 on multiple occasions due to medication unavailability. The submitted plan of correction was accepted and later determined to be fully implemented.

The inspection was conducted as a follow-up to review the submitted plan of correction for previously cited deficiencies related to medication administration and compliance.

The facility was found to have deficiencies in medication administration documentation and following prescriber's orders, specifically related to missing medications and inaccurate medication administration records. The submitted plan of correction was accepted and fully implemented with corrective actions including staff re-education, medication audits, and competency assessments.

The inspection was a full, unannounced renewal inspection conducted on 04/22/2021 and 04/23/2021 to assess compliance with regulatory requirements.

The inspection identified multiple deficiencies including delayed incident reporting, failure to timely refund resident charges after death, sanitary condition issues, environmental maintenance concerns, and medication documentation errors. Plans of correction were accepted for all deficiencies with corrective actions and monitoring measures outlined.